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����� � �r� <br />Form 669 ��: Department of the Treasury - Intemal Revenue Service <br />(September 2008) Certificate of Discharge of Property From Federal Tax Lien <br />(Section 6325(6)(2)(8) of the Intema/ Revenue Code) <br />TODD W& LORI FRIESEN of 4134 W FAIDLEY AVE, City of GRAND ISLAND, County of HALL, State of NEBRASKA, is indebted <br />to the United 5tates for unpaid internal revenue tax in the sum of Forty Thousand Nine Hundred eighty Five and Twenty Four/100 <br />Dollars (40,985.24) as evidenced by: <br />NoHce of Federal <br />Tax Lien <br />Serial Number <br />(a) <br />454966808 <br />Recording Information <br />(b) <br />Rec.No.200806116 <br />UCC#9908565706-1 <br />Date Recorded <br />(c) <br />07/15/2008 <br />Taxpayer ldantiflcation Number <br />(d) <br />xxx-xx-6717 <br />AmouM Shown on Lien <br />�g) <br />$40,985.24 <br />A lien attaching to all the properfiy of the ta�cpayer was filed to secure the amount owed. The notice of lien was filed with the <br />Register of Deeds, for the County of Hall, and also with the Nebraska Secretary of State UCC Division, in accordance with the <br />applicable provisions of law. <br />The lien listed above is attached to certain property described as: <br />Lot 27 of Hawthorne Place, in the City of Grand Island, Hal1 County, iVE, <br />Locally Known As: 915 S. Sycamore St Grand Island, NE <br />NOTE: Always include the address of real property or a descriptiv� narrative of personal property in this section when using <br />"See AttachmenY' and a more detailed description is being attached. <br />The United States' inferest in the above des�ribed property under the referenced lien is now valueless. Therefore, under <br />Section 6325(b)(2)(B) ofi the Internal Revenue Code, the Infernal Revenue Service discharges the above described property <br />#rvn� the lien, Howe�v��the I�n �mains in effect fior all other property, or rights to property, to which the lien is attached. <br />s. <br />Title <br />Group Manager Technical Services <br />Date <br />OBl23l2011 <br />(Note: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Discharge of <br />Federal Tax Lien. Re v. Rul. 71-466, 1971-2, C.B. 409.) <br />Catalog No. 16751 C Form 669-C (Rev. 9-2008) <br />